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Cash Contributions, Loans Received and In-Kind <br /> <br />Candidate~,~t~ C ~~ 3 ~ ~ ~°r Political Committee Name: ~ Committee ID Number:Page--,---J of~ <br />Election: [] primary 20 [] General 20 [] Othcr .. <br /> <br />Rcpo~: J~ 1st Pre-election [] 2nd Pre-election [] Post-election [] 20_ . September SuFplemem~l <br /> <br />SEE BACK FOR INSTRUCTIONS AND CODE DEFINITIONS <br /> <br /> CODE t: Contributor Type CODE 2: Contribution Type <br /> B Business Entity CA Cash <br /> C Political Committee (includes b~iness and union PACs) CO Cost.er Obligation <br /> F Candidate's Immediate Family (includes candidate) IK In-Kind <br /> I Individual LR Loan Received <br /> L Labor Organization <br /> O Other <br /> P Political Party Committee <br /> <br /> Amount of In-Kind Purpose <br /> Line # Name and Address of Contributor Contribution (see manual for suggested purpose codes) <br /> <br /> Date Received Occupetlonel Inforrn~tio~ or Contributor Code 1 Code 2 <br /> <br /> I <br /> <br /> See Page Totals (Add all amounts with the same Accounting Period Totals (Complet. only for last page and <br /> Instructions contribution type. Do not include aggregates.) transfer these araounts to the Summary Statement, PC 1 .) <br /> on Back and <br /> in Campai~ Cash (Ca) S C]._~),oO C.~h (Ca) $_ <br /> £nMt'on Suxmnary Statement. Columia A. Line 1 <br /> Finance <br /> Manual In-Kind (IK) $ la-Kind (IK) <br /> Eater on Summary Statement, Column ^, Lm=~ a and 9 <br /> <br /> PC 2 Loans Received (LR) $ Loans Recexved (LR) $ <br /> En~er On Summary Statement, Column A, Linc 2 <br /> <br /> <br />